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45D2221588 CLIA NUMBER - CRYSTAL CREEK AT PRESTON HOLLOW

Laboratory Demographics

CLIA Number: 45D2221588

Facility Name: CRYSTAL CREEK AT PRESTON HOLLOW

Facility Address:
11409 N CENTRAL EXPRESSWAY SUITE 124
DALLAS, TX
ZIP 75243
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Facility Phone Number: 214 363-5100

Facility Type: Assisted Living Facility

Certificate Type: Waiver
NPI Number: 1063876118

Taxonomy: 314000000X - Skilled Nursing Facility
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

CLIA Record

Field Name Field Value
CLIA Number 45D2221588
LAB Type Assisted Living Facility
Facility Name CRYSTAL CREEK AT PRESTON HOLLOW
Street 11409 N CENTRAL EXPRESSWAY SUITE 124
City DALLAS
State TX
ZIP 75243
Phone 214 363-5100
CertificateType 4
CertificateEffectiveDate 4/22/2023
CertificateExpirationDate 4/21/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024